Nursing activities score
Nursing activities score
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DOI：
10.1097/01.ccm.0000045567.78801.cc
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发表时间：
2003-02-01
影响因子：
8.8
通讯作者：
Lapichino, G
中科院分区：
文献类型：
--
作者：
Miranda, DR;Nap, R;Lapichino, G
目标.用于测量重症监护室护理工作量的仪器（例如，治疗干预评分系统-28）基于与疾病严重程度相关的治疗干预。许多护理活动并不一定与疾病的严重程度相关，成本效益研究需要准确评估护理活动。该研究的目的是确定最能描述重症监护室工作量的护理活动，并将权重分配给这些活动，以便评分描述平均时间消耗而不是疾病的严重程度。通过一项为期1周的观察性横断面研究确定护理活动的平均时间消耗，并将这些结果与治疗干预评分系统-28的结果进行比较。连续入住重症监护室。干预：每天记录患者水平的护理活动，并随机记录这些活动。共有5个新项目和14个子项目描述了重症监护室的护理活动（例如，监测、照顾亲属、管理任务）被添加到治疗干预评分系统-28的治疗干预列表中。分析了2，041例患者的数据（6，451个护理日和127，951个多时刻记录）。新活动占平均护理时间的60%;新评分系统（护理活动评分）解释了81%的护理时间（治疗干预评分系统-28中为43%）。治疗干预评分系统-28中的权重并非来自护理时间的使用。我们的研究表明，护理活动评分衡量的是重症监护室的护理时间消耗。这些结果应在独立的数据库中进行验证。(Grit Care Med 2003; 31：374-382）。
Objectives. The instruments used for measuring nursing workload in the intensive care unit (e.g., Therapeutic Intervention Scoring System-28) are based on therapeutic interventions related to severity of illness. Many nursing activities are not necessarily related to severity of illness, and cost-effectiveness studies require the accurate evaluation of nursing activities. The aim of the study was to determine the nursing activities that best describe workload in the intensive care unit and to attribute weights to these activities so that the score describes average time consumption instead of severity of illness.Design. To define by consensus a list of nursing activities, to determine the average time consumption of these activities by Use of a 1-wk observational cross-sectional study, and to compare these results with those of the Therapeutic Intervention Scoring System-28.Setting: A total of 99 intensive care units in 15 countries.Patients. Consecutive admissions to the intensive care units.Intervention: Daily recording of nursing activities at a patient level and random multimoment recording of these activities.Results., A total of five new items and 14 subitems describing nursing activities in the intensive care unit (e.g., monitoring, care of relatives, administrative tasks) were added to the list of therapeutic interventions in Therapeutic Intervention Scoring System-28. Data from 2,041 patients (6,451 nursing days and 127,951 multimoment recordings) were analyzed. The new activities accounted for 60% of the average nursing time; the new scoring system (Nursing Activities Score) explained 81% of the nursing time (vs. 43% in Therapeutic Intervention Scoring System-28). The weights in the Therapeutic Intervention Scoring System-28 are not derived from the use of nursing time.Conclusions. Our study suggests that the Nursing Activities Score measures the consumption of nursing time in the intensive care unit. These results should be validated in independent databases. (Grit Care Med 2003; 31:374-382).